{"component": "definition", "props": {"groups": [{"snippet_links": [{"key": "electronic-file", "type": "clause", "offset": [22, 37]}, {"key": "combination-of-both", "type": "clause", "offset": [53, 72]}], "snippet": "means any retrievable electronic file, paper file or combination of both.", "size": 26, "samples": [{"hash": "9elSjvDD7R2", "uri": "https://risos-apa-production-public.s3.amazonaws.com/DBR/REG_13235_20250203163053024.pdf", "label": "risos-apa-production-public.s3.amazonaws.com", "score": 18.0111846924, "published": false}, {"hash": "1E9uZhzEWCY", "uri": "https://risos-apa-production-public.s3.amazonaws.com/DBR/REG_12083_20211217135744.pdf", "label": "risos-apa-production-public.s3.amazonaws.com", "score": 17.6088657379, "published": false}, {"hash": "bNPX09J3ITl", "uri": "https://risos-apa-production-public.s3.amazonaws.com/DBR/REG_13139_20240417123401407.pdf", "label": "risos-apa-production-public.s3.amazonaws.com", "score": 16.8766555786, "published": false}], "hash": "38b8e107619c426c52aa2e08b986e9ae", "id": 1}, {"snippet_links": [{"key": "original-form", "type": "clause", "offset": [31, 44]}, {"key": "original-material", "type": "clause", "offset": [123, 140]}, {"key": "the-claim", "type": "clause", "offset": [151, 160]}, {"key": "and-settlement", "type": "clause", "offset": [192, 206]}], "snippet": "means any record either in its original form or as recorded by any process which can accurately and reliably reproduce the original material regarding the claim, its investigation, adjustment and settlement.", "size": 14, "samples": [{"hash": "3Mra0ISVudg", "uri": "https://rules.utah.gov/wp-content/uploads/b20030501.pdf", "label": "rules.utah.gov", "score": 19.5808849335, "published": false}, {"hash": "dShapavvp51", "uri": "https://rules.utah.gov/publicat/code/r590/r590-192.htm", "label": "Amendment", "score": 14.1704311371, "published": false}, {"hash": "ky6TIqAYa6d", "uri": "https://rules.utah.gov/publicat/code/r590/r590-190.htm", "label": "Amendment", "score": 14.1704311371, "published": false}], "hash": "3ae9fef77dbd05943d67f8121f37acd0", "id": 2}, {"snippet_links": [{"key": "electronic-file", "type": "clause", "offset": [22, 37]}, {"key": "combination-of-both", "type": "clause", "offset": [51, 70]}, {"key": "other-media", "type": "definition", "offset": [79, 90]}], "snippet": "means any retrievable electronic file, paper file, combination of both, or any other media.", "size": 11, "samples": [{"hash": "5H3aIJCQiNE", "uri": "http://codes.ohio.gov/oac/3901-1", "label": "codes.ohio.gov", "score": 10.1704311371, "published": false}, {"hash": "6EnltGmbCEm", "uri": "https://codes.ohio.gov/assets/laws/administrative-code/authenticated/3901/0/1/3901-1-54_20220214.pdf", "label": "codes.ohio.gov", "score": 9.0602331161, "published": false}, {"hash": "f57epVK9J0U", "uri": "https://www.registerofohio.state.oh.us/pdfs/3901/0/1/3901-1-54_PH_OF_A_RU_20211130_1521.pdf", "label": "www.registerofohio.state.oh.us", "score": 8.956193924, "published": false}], "hash": "d9eb3c1e738287500f286e65e6b2dbec", "id": 3}, {"snippet_links": [{"key": "data-set", "type": "definition", "offset": [8, 16]}, {"key": "service-level", "type": "clause", "offset": [41, 54]}, {"key": "remittance-information", "type": "clause", "offset": [55, 77]}, {"key": "terms-of", "type": "clause", "offset": [127, 135]}, {"key": "insurance-policy", "type": "definition", "offset": [139, 155]}, {"key": "health-benefits-plan", "type": "definition", "offset": [157, 177]}, {"key": "labor-and-industries", "type": "clause", "offset": [187, 207]}, {"key": "not-limited", "type": "clause", "offset": [231, 242]}, {"key": "covered-medical-services", "type": "definition", "offset": [247, 271]}], "snippet": "means a data set composed of health care service level remittance information for all nondenied adjudicated claims un- der the terms of an insurance policy, health benefits plan or state labor and industries program including, but not limited to, covered medical services files, pharmacy files and dental files.", "size": 9, "samples": [{"hash": "f4OmDlMyO8A", "uri": "https://app.leg.wa.gov/documents/laws/WACArchive/2022/pdf/WAC%20182%20%20TITLE/WAC%20182%20-%2070%20%20CHAPTER/WAC%20182%20-%2070%20%20COMBINEDCHAPTER.pdf", "label": "app.leg.wa.gov", "score": 16.8584060669, "published": false}, {"hash": "jjxAblo0iQa", "uri": "https://lawfilesext.leg.wa.gov/law/WACArchive/2021/pdf/WAC%20182%20%20TITLE/WAC%20182%20-%2070%20%20CHAPTER/WAC%20182%20-%2070%20%20COMBINEDCHAPTER.pdf", "label": "lawfilesext.leg.wa.gov", "score": 16.7224454375, "published": false}, {"hash": "2VkodGcTK33", "uri": "https://lawfilesext.leg.wa.gov/law/WACPDF/WAC%20%2082%20%20TITLE/WAC%20%2082%20-%2075%20%20CHAPTER/WAC%20%2082%20-%2075%20%20COMBINEDCHAPTER.pdf", "label": "lawfilesext.leg.wa.gov", "score": 14.5733175278, "published": false}], "hash": "e36e21da303f909482b13e6cd3bf48db", "id": 4}, {"snippet_links": [{"key": "original-form", "type": "clause", "offset": [29, 42]}, {"key": "original-material", "type": "clause", "offset": [119, 136]}, {"key": "and-settlement", "type": "clause", "offset": [187, 201]}], "snippet": "means a record either in its original form or as recorded by a process that can accurately and reliably reproducer the original material regarding a claim, its investigation, adjustment, and settlement.", "size": 4, "samples": [{"hash": "uGjwpc8hXn", "uri": "https://rules.utah.gov/wp-content/uploads/b20231215.pdf", "label": "rules.utah.gov", "score": 11.9719371796, "published": false}, {"hash": "4f9k7ZeuC2n", "uri": "https://insurance.utah.gov/wp-content/uploads/190CPR11-28-2023.pdf", "label": "insurance.utah.gov", "score": 11.9541406631, "published": false}, {"hash": "NRWMqtpAW1", "uri": "https://insurance.utah.gov/wp-content/uploads/190CPR9-28-2023.pdf", "label": "insurance.utah.gov", "score": 11.8774814606, "published": false}], "hash": "de536fa56d7eca0996e75727dace8f82", "id": 5}, {"snippet_links": [{"key": "electronic-file", "type": "clause", "offset": [22, 37]}], "snippet": "means any retrievable electronic file, microfilm/microfiche file, paper file, or any combination thereof;", "size": 3, "samples": [{"hash": "g5GWS8ceNCl", "uri": "https://doi.nebraska.gov/sites/default/files/doc/Chapter%2061.pdf", "label": "doi.nebraska.gov", "score": 15.9120874405, "published": false}, {"hash": "ihpBAQpGscp", "uri": "http://www.sos.ne.gov/rules-and-regs/regsearch/Rules/Insurance_Dept_of/Title-210/Chapter-61.pdf", "label": "www.sos.ne.gov", "score": 7.1704311371, "published": false}, {"hash": "qesTiYmdK5", "uri": "https://www.nebraska.gov/rules-and-regs/regsearch/Rules/Insurance_Dept_of/Title-210/Chapter-60.pdf", "label": "www.nebraska.gov", "score": 2.0, "published": false}], "hash": "7d2aa22568a1b0445d4f2836bcd813af", "id": 6}, {"snippet_links": [{"key": "any-open", "type": "clause", "offset": [48, 56]}, {"key": "closed-claim", "type": "definition", "offset": [60, 72]}, {"key": "agreement-or", "type": "definition", "offset": [123, 135]}], "snippet": "means the file, either electronic or paper, for any open or closed claim which is provided to PMA at the inception of this Agreement or created during this Agreement.", "size": 3, "samples": [{"hash": "9bnwov3kvXo", "uri": "/contracts/9bnwov3kvXo#claim-file", "label": "Agreement for Third Party Claim Administrative Services", "score": 36.0745811462, "published": true}, {"hash": "4kGssRhXRcI", "uri": "https://www.wilmingtoncitycouncil.com/wp-content/uploads/2025/05/0048-Ordinance-to-Authorize-Agreement-with-PMA-Management-Corp.-AATF-W0128976x920B6-1.pdf", "label": "Agreement", "score": 24.2928409576, "published": false}, {"hash": "hcqUJEc2Il5", "uri": "https://johnsoncitytn.civicweb.net/document/306603/Consider%20approval%20to%20renew%20the%20Third%20Party%20Clai.pdf?handle=45A756647F7A4CA3B03E67A1FDEF1AC4", "label": "johnsoncitytn.civicweb.net", "score": 5.0, "published": false}], "hash": "da683202bfad5abae755b21172906a35", "id": 7}, {"snippet_links": [{"key": "electronic-file", "type": "clause", "offset": [22, 37]}, {"key": "combination-of-both", "type": "clause", "offset": [54, 73]}], "snippet": "means any retrievable electronic file, paper file, or combination of both;", "size": 3, "samples": [{"hash": "5pyO7uyoTgZ", "uri": "https://apps.legislature.ky.gov/services/karmaservice/documents/7537/ToWord?markup=false&style=web", "label": "apps.legislature.ky.gov", "score": 16.7009716034, "published": false}, {"hash": "lhc12j9ioKp", "uri": "https://apps.legislature.ky.gov/services/karmaservice/documents/7537/ToPDF?markup=false", "label": "apps.legislature.ky.gov", "score": 9.1813821793, "published": false}, {"hash": "8XjqGcHlUTW", "uri": "https://apps.legislature.ky.gov/law/kar/806/012/092.pdf", "label": "apps.legislature.ky.gov", "score": 7.1704311371, "published": false}], "hash": "19ad6f1d172d0d8204a0861f75f2c532", "id": 8}, {"snippet_links": [{"key": "electronic-form", "type": "definition", "offset": [27, 42]}, {"key": "the-information", "type": "clause", "offset": [82, 97]}, {"key": "title-8", "type": "definition", "offset": [130, 137]}, {"key": "california-code-of-regulations", "type": "definition", "offset": [145, 175]}, {"key": "these-regulations", "type": "definition", "offset": [176, 193]}, {"key": "all-documents", "type": "definition", "offset": [198, 211]}, {"key": "related-to", "type": "definition", "offset": [223, 233]}, {"key": "denial-of-benefits", "type": "clause", "offset": [268, 286]}, {"key": "labor-code", "type": "clause", "offset": [338, 348]}], "snippet": "means a record in paper or electronic form, or any combination, containing all of the information specified in section 10101.1 of Title 8 of the California Code of Regulations these regulations and all documents or entries related to the provision, payment, delay, or denial of benefits or compensation under Divisions 1, 4 or 4.5 of the Labor Code.", "size": 3, "samples": [{"hash": "6ltrTP7903j", "uri": "https://www.dir.ca.gov/dwc/DWCPropRegs/AdminPenalties_LC5814_6Regulations/5814_6__154thDayTextofregulations.doc", "label": "www.dir.ca.gov", "score": 7.1704311371, "published": false}, {"hash": "baFdxuYan8i", "uri": "https://www.cwci.org/document.php?file=419.pdf", "label": "www.cwci.org", "score": 2.0, "published": false}], "hash": "8be5f228b444f305741dcca5ed28f14a", "id": 9}, {"snippet_links": [{"key": "the-claim-form", "type": "clause", "offset": [6, 20]}, {"key": "documents-submitted", "type": "clause", "offset": [29, 48]}, {"key": "relating-to", "type": "definition", "offset": [49, 60]}, {"key": "relevant-documents", "type": "definition", "offset": [81, 99]}, {"key": "covered-policy", "type": "clause", "offset": [127, 141]}, {"key": "to-the-extent", "type": "clause", "offset": [180, 193]}, {"key": "payment-history", "type": "definition", "offset": [256, 271]}], "snippet": "means the Claim Form and all documents submitted relating to a Claim, along with relevant documents relating to the underlying Covered Policy on which the Claim is based, such as, to the extent applicable, correspondence relating to the Covered Policy and payment history on the Covered Policy.", "size": 2, "samples": [{"hash": "2WDtr7xc7Vr", "uri": "https://mcguireclappsettlement.com/Portals/0/Document%20Files/Stipulation%20of%20Settlement.pdf?ver=2019-05-21-112212-000", "label": "mcguireclappsettlement.com", "score": 10.4140996933, "published": false}, {"hash": "frYjFghym4S", "uri": "http://cafanotices.com/Portals/0/Document%20Files/Clapp%20v%20Accordia/Stipulation%20of%20Settlement%20and%20Exhibits%20thereto.pdf?ver=2019-05-17-083524-000", "label": "cafanotices.com", "score": 6.6748800278, "published": false}], "hash": "1cb669f78711f846539e62ca0a1ce104", "id": 10}], "next_curs": "ClcSUWoVc35sYXdpbnNpZGVyY29udHJhY3RzcjMLEhpEZWZpbml0aW9uU25pcHBldEdyb3VwX3Y1NiITY2xhaW0tZmlsZSMwMDAwMDAwYQyiAQJlbhgAIAA=", "definition": {"snippet": "means any retrievable electronic file, paper file or combination of both.", "size": 89, "title": "Claim file", "id": "claim-file", "examples": ["<strong>Claim file</strong> support shall be deemed adequate if in compliance with the Records Retention Requirements outlined on the Form FHCF-L1B (Proof of Loss Report) applicable to the Contract Year.", "If the Company requests additional information concerning such a Claim, the Administrator shall promptly provide the Company with a copy of its <strong>Claim file</strong> and any other information concerning the Claim reasonably requested in writing by the Company.", "I agree to pay back all monies paid to me in accordance with this Agreement if I assert a Claim, file a complaint or charge with a government agency, or \u2587\u2587\u2587 the Company for any Claim, except as may otherwise be prohibited under ADEA or the OWBPA.", "GB will charge Client for any loss involving ten (10) or more Claims resulting from a single event (i.e., hurricane, tornado, flood, earthquake, etc.) on a time and expense basis, which shall be paid as an Allocated Expense against the <strong>Claim file</strong>.", "All fees and expenses, including attorneys\u2019 fees or investigations, for pursuit of any recovery shall be charged to the appropriate Qualified <strong>Claim file</strong> as an allocated loss adjustment expense.", "GB shall not be responsible for updating, maintaining or storing Run-In <strong>Claim file</strong> information (paper or electronic) that is more than ten (10) years old.", "You have a right to make a Claim, file an Objection to the Settlement, Opt-Out from the Settlement, or do nothing.", "Subject to the immediately preceding sentence, the Indemnifying Party will have full control of such defense and proceedings, including any compromise or settlement thereof; PROVIDED, HOWEVER, that the Indemnified Party may, at the cost and expense of the Indemnifying Party, at any time prior to the Indemnifying Party&#x27;s delivery of notice to assume the defense of such Third Party Claim, file any motion, answer or other pleadings or take any other action that the Indemnified .", "The review of the Claims Administrator will be a de novo review, i.e., the review will be made independently of the prior findings of the Claims Office and based on a fresh review of the <strong>Claim file</strong> of the Claimant.", "<strong>Claim file</strong> support shall be deemed adequate if in compliance with the Records Retention Requirements outlined on the FHCF Proof of Loss Report applicable to the Contract Year."], "related": [["case-file", "Case file", "Case file"], ["custodial-file", "Custodial File", "Custodial File"], ["master-file", "Master File", "Master File"], ["contract-file", "Contract File", "Contract File"], ["lease-file", "Lease File", "Lease File"]], "related_snippets": [], "updated": "2025-07-23T06:14:19+00:00"}, "json": true, "cursor": ""}}